Abstract
Coronary bypass surgery in a patient with functioning renal graft is reported. Surgery was carried out using standard operative techniques providing some precautions for renal graft protection: i.e. adequate mean perfusion pressure, volume replacement, and renal outflow during cardiopulmonary bypass, and appropriate prophylactic antibiotic and immunosuppressive therapy. Postoperative course was uneventful and blood urea nitrogen and serum creatinine levels were comparable to the preoperative levels. Three months after operation the patient was found to be asymptomatic.
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Burton, B. T., Kreuger, K. K., Bryan, F. A. Jr.: National registry of long term dialysis patients.JAMA, 218, 718 (1971).
Francis, G. S., Sharma, B., Collins, A. J., Helseth, H. K., Comty, C. M.: Coronary artery surgery in patients with end-stage renal disease.Ann. Intern. Med., 92, 499 (1980).
Lindner, A., Charra, B., Sherrard, J., Scriber, B.: Accelerated atherosclerosis in prolonged maintenance dialysis.N. Engl. J. Med., 290, 697 (1974).
Opsahl, J. A., Husebye, D. G., Helseth, H. K., Collins, A. J.: Coronary artery bypass surgery in patients on maintenance dialysis: Long term survival.Am. J. Kidney Dis., 12, 271 (1988).
Lorber, M. I., Van Buren, C. T., Flechner, S. M., Cameron, L., Leatherwood, J., Walker, W. E., Smalling, R. W., Kahan, B. D.: Pretransplant coronary arteriography for diabetic renal transplant recipients.Transplant. Proc., 19, 1539 (1987).
Standards Committee of the American Society of Transplant Surgeons: Current results and expectation of renal transplantation.JAMA, 246, 133 (1981).
Frye, E. B., Vaziri, N. D., Martin, D. C., Farooqui, S.: Cardiovascular pathology in renal transplant recipients.J. Nat. Med. Ass., 78, 1187 (1986).
Bennett, W. M., Kloster, F., Rosch, J., Barry, J., Porter, G. A.: Natural history of asymptomatic coronary arteriographic lesions in diabetic patients with end-stage renal disease.Am. J. Med., 65, 779 (1978).
Philipson, J. D., Carpenter, B. J., Itzkoff, J., Hakala, T. R., Rosenthal, J. T., Taylor, R. J., Puschett, J. B.: Evaluation of cardiovascular risk for renal transplantation in diabetic patients.Am. J. Med., 81, 630 (1986).
Weinrauch, L., D'Elia, J. A., Healy, R. W., Gleason, R. E., Christlieb, R., Leland, O. S.: Asymptomatic coronary artery disease: Angiographic assessment of diabetes evaluated for renal transplantation.Circulation, 58, 1184 (1978).
Manske, C. L., Wang, Y., Rector, T., Wilson, R. F., White, C. W.: Coronary revascularisation in insulin-dependent diabetic patients with chronic renal failure.Lancet, 340, 998 (1992).
De Meyer, M., Wyns, W., Dion, R., Khoury, G., Pirson, Y., De Strihou, C. V. Y.: Myocardial revascularization in patients on renal replacement therapy.Clin. Nephrol., 36, 147 (1991).
Rostand, S. G., Kirk, K. A., Rutsky, E. A., Pacifico, A. D.: Results of coronary artery bypass grafting in end-stage renal disease.Am. J. Kidney Dis., 12, 266 (1988).
Bolman, R. M., Anderson, R. W., Molina, J. E., Schwartz, J. S., Levine, B., Simmons, R. L., Najarian, J. S.: Cardiac operations in patients with functioning renal allografts.J. Thorac. Cardiovasc. Surg., 88, 537 (1984).
Nakhjavan, F. K., Kahn, D., Rosenbaum, J., Ablaza, S., Golberg, H.: Aorto-coronary vein graft surgery in a cadaver kidney transplant recipient.Arch. Intern. Med., 135, 1511 (1975).
Beauchamp, G. D., Sharma, J. N., Crouch, T., Reed, W., Killen, D. A., McCallister, B. D., Crockett, J. E., Bell, H. H.: Coronary bypass surgery after renal transplantation.Am. J. Cardiol., 37, 1107 (1976).
Defraigne, J. O., Meurisse, M., Limet, R.: Valvular and coronary surgery in renal transplant patients.J. Cardiovasc. Surg., 31, 581 (1990).
Eide, T. R., Belenker, S.: Effect of cardiopulmonary bypass on plasma cyclosporin A levels in a renal transplanted patient.Anesth. Analg., 74, 288 (1992).
Stewart, R., Sethia, B., Bain, W. H.: Cardiac surgery in patients with functional renal transplants.Thorac. Cardiovasc. Surgeon, 34, 86 (1986).
Hueb, W. A., Oliveira, S. A., Bittencourt, D., Bellotti, G., Jatene, A. D., Pileggi, F.: Coronary bypass surgery for patients with renal transplantation.Cardiology, 73, 151 (1986).
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Tezcaner, T., Yorgancioğlu, C., Moldibi, O. et al. Coronary bypass surgery in a renal transplant patient. International Urology and Nephrology 28, 583–587 (1996). https://doi.org/10.1007/BF02550971
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DOI: https://doi.org/10.1007/BF02550971